1 Pharmacology NCLX Review Questions Chapter 9 Week 1 1. A patient is experiencing withdrawal from opioids.

The nurse expects to see which assessment finding most commonly associated with acute opioid withdrawal? a. Elevated blood pressure b. Decreased pulse c. Lethargy d. Constipation 2. During treatment for withdrawal from opioids, the nurse expects which medication to be ordered? a. Amphetamine (Dexedrine) b. Clonidine (Catapres) c. Diazepam (valium) d. Disulfiram (Antabuse) 3. The nurse is presenting a seminar on substance abuse. Which drug is most commonly used illicit drug in the U.S.? a. Crack cocaine b. Heroin c. Marijuana d. Methamphetamine 4. A patient taking disulfiram as part of an alcohol treatment program accidentally takes a dose of cough syrup that contains a symptom as a result of acetaldehyde syndrome? a. Lethargy b. Copious vomiting c. Hypertension d. No ill effect because of the small amount of alcohol in the cough syrup

2 Pharmacology NCLX Review Questions Chapter 9 Week 1 5. The nurse is assessing a patient for possible substance abuse. Which assessment finding indicates possible use of amphetamines? a. Lethargy and fatigue b. Cardiovascular depression c. Talkativeness and euphoria d. Difficulty swallowing and constipation 6. A patient experiencing ethanol withdrawal is beginning to show manifestations of delirium tremens. The nurse will plan to implement which interventions for management of delirium tremens? (select all that apply) a. Doses of oral chlordiazepoxide (Librium) b. Doses of intravenous chlordiazepoxide (Librium) c. Restraints if the patient becomes confused, agitated, or a threat to himself or others d. Thiamine supplementation e. Oral disulfiram (antabuse) treatment f. Monitoring in the intensive care unit

Answers: 1-A, 2-B, 3-C, 4-B, 5-C, 6-B, C, D, F Online questions

3 Pharmacology NCLX Review Questions Chapter 9 Week 1

While obtaining a medication history on a newly admitted patient, the nurse notes that the patient is currently prescribed naltrexone (ReVia). The nurse would further question the patient regarding a history of A) opioid abuse. B) alcohol abuse. C) barbiturate abuse. D) amphetamine abuse. A patient comes to the emergency department complaining of severe back pain and asking for something to take the pain away. Nursing assessment findings include mydriasis, rhinorrhea, diaphoresis, lacrimation, blood pressure 160/84, heart rate 116, and respiratory rate 24. Which condition would the nurse suspect? A) Opioid withdrawal B) Barbiturate overdose C) Ethanol intoxication D) Amphetamine overdose A 17-year-old man is carried into the emergency rooms by his friends. The patient is unresponsive, and his friends tell you they were too scared to call 911 as they were at a party and were popping roofies. Which of the following medications would the nurse expect to administer to this patient? A) Naloxone (Narcan) B) Naltrexone (ReVia) C) Flumazenil (Romazicon) D) Chlordiazepoxide (Librium) The nurse is caring for a patient admitted to the hospital with chest pain. The patient has a long-standing history of alcohol abuse. The nurse recognizes the need to monitor the patient for which adverse effects? (Select all that apply.) A) Tremors B) Agitation C) Bradycardia D) Hypertension

4 Pharmacology NCLX Review Questions Chapter 9 Week 1

The nurse is providing care to a patient in the emergency department. The patient reports headache and weakness and is noted to have dysrhythmias on an EKG. The patient is talkative, restless, anxious, and asking to leave the ED. The nurse suspects that the patient might be taking which substance of abuse? A) Stimulants B) Depressants C) Alcohol D) Opioids The nurse is assessing a patients history of substance abuse on admission to inpatient rehabilitation. The patient informs the nurse that he has been increasing his drug dosage to get the same effect. What is the patient experiencing? A) Habituation B) Tolerance C) Addiction D) Physiological dependence